Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $63.10 / $173.78	Facility	26	$22.91	$63.10	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $120.23 / $489.78	Professional		$51.29	$120.23	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $57.54 / $154.88	Professional	26	$23.44	$57.54	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $213.80 / $724.44	Professional	50	$138.04	$213.80	$724.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $31.62 / $114.82	Professional	TC	$10.00	$31.62	$114.82
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $104.71 / $208.93	Facility	26	$47.86	$104.71	$208.93
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $575.44	Professional		$54.95	$109.65	$575.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $251.19	Professional	26	$28.18	$45.71	$251.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $46.77 / $446.68	Professional	TC	$12.02	$46.77	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $338.84	Professional		$64.57	$109.65	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $79.43 / $112.20	Professional	26	$48.98	$79.43	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $251.19	Professional		$67.61	$138.04	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $51.29 / $95.50	Professional	26	$30.20	$51.29	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $74.13 / $190.55	Professional	TC	$14.45	$74.13	$190.55
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $60.26 / $114.82	Professional		$15.14	$60.26	$114.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $169.82	Professional		$57.54	$104.71	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $83.18 / $123.03	Professional	26	$43.65	$83.18	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $20.89 / $36.31	Professional	TC	$12.02	$20.89	$36.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $112.20	Professional		$66.07	$74.13	$112.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $104.71 / $208.93	Facility	26	$47.86	$104.71	$208.93
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $575.44	Professional		$54.95	$109.65	$575.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $251.19	Professional	26	$28.18	$45.71	$251.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $47.86 / $446.68	Professional	TC	$12.02	$47.86	$446.68
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $91.20 / $114.82	Professional		$44.67	$91.20	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $186.21	Professional		$69.18	$117.49	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $117.49	Professional	26	$28.18	$44.67	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $48.98 / $117.49	Professional	TC	$16.60	$48.98	$117.49